The sport of lightweight division rowing is a particular concern, because each member of the crew is required to maintain a weight under 130 pounds. For an adolescent female who is tall, this means a very small amount of body fat, often resulting in amenorrhea, low bone mineral density, osteopenia, and osteoporosis. Also increased risk of depression and anxiety caused by overtraining syndrome, a condition well recognized in the scientific literature, and Activity Based Anorexia, a condition in which the sufferer becomes essentially addicted to high levels of physical activity and is unable to eat normally.
The best treatment for Overtraining Syndrome and Activity Based Anorexia is known as Family Based Treatment (FBT). FBT was developed for the treatment of anorexia nervosa. In the FBT model, parents take complete control of their teenager's eating and exercise behaviors until she has gained sufficient weight and reestablished normalized patterns of eating behavior. Developed at Stanford and the University of Chicago, FBT is the method recommended by the American Academy of Pediatrics and the American Academy of Child and Adolescent Psychiatry. FBT has been shown in clinical trials to be superior to professional psychotherapy.